A 79-year-old male presents to your office for his annual flu shot. On physical exam you note several linear bruises on his back. Upon further questioning he denies abuse from his daughter and son-in-law, who live in the same house. The patient states he does not want this information shared with anyone. What is the most appropriate next step, paired with its justification?
ABreach patient confidentiality, as this patient's care should be discussed with the daughter as she is his primary caregiver
BSee the patient back in 2 weeks and assess whether the patient's condition has improved, as his condition is not severe
CDo not break patient confidentiality, as elder abuse reporting is not mandatory
DDo not break patient confidentiality, as this would potentially worsen the situation
EBreach patient confidentiality, as this patient is a potential victim of elder abuse and reporting is mandated in most states
The surgical equipment used during a craniectomy is sterilized using pressurized steam at 121°C for 15 minutes. Reuse of these instruments can cause transmission of which of the following pathogens?
ANon-enveloped viruses
BSporulating bacteria
CPrions
DEnveloped viruses
EYeasts
A 38-year-old project manager is told by her boss that her team will need to work on an additional project in the coming week for a very important client. This frustrates the woman, who already feels that she works too many hours. Instead of discussing her feelings directly with her boss, the woman leaves a voice message for her boss the next day and deceitfully says she cannot come to work for the next week because of a family emergency. Which of the following psychological defense mechanisms is this individual demonstrating?
ADisplacement
BActing out
CMalingering
DPassive aggression
EBlocking
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